Prairie Doc Perspective: Why pelvic health matters: More than just kegels
Dr. Patti Berg-poppe And Dr. Staci Wietfeld
Friday, August 22, 2025
Body
In our research and clinical practice experiences, a common theme emerges from people living with pelvic floor issues -- “I wish someone had told me about this sooner.” Through interviews and conversations, we’ve documented the stories of individuals who didn’t know what questions to ask, didn’t realize their symptoms were treatable, and often assumed they were alone. In her practice, Staci sees these realities unfold in the clinic every day, as both male and female patients arrive with frustration, confusion and a long history of being told that their concerns are normal, inevitable or simply something to live with. Pelvic floor disorders such as urinary incontinence, constipation, pelvic pressure, pain with intercourse and pelvic floor dyssynergia (poor coordination) are more common than most people realize. These symptoms affect millions of adults. Nearly one in four women and one in eight men in the U.S. will experience some form of pelvic floor dysfunction in their lifetime. Yet these issues are often dismissed, hidden or normalized. Although not uncommon, we want to emphasize that dysfunction in the system is not normal. It is treatable. Conversations around pelvic health often begin only after childbirth, surgery or the slow accumulation of symptoms that have significantly affected quality of life. By that point, the affected person is often dealing not only with physical discomfort, but with years of self-doubt or embarrassment.